US5715942A - Package and holder for suture anchor with sutures and surgical needles attacked - Google Patents
Package and holder for suture anchor with sutures and surgical needles attacked Download PDFInfo
- Publication number
- US5715942A US5715942A US08/751,116 US75111696A US5715942A US 5715942 A US5715942 A US 5715942A US 75111696 A US75111696 A US 75111696A US 5715942 A US5715942 A US 5715942A
- Authority
- US
- United States
- Prior art keywords
- suture
- holder
- suture anchor
- anchor
- package
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0416—Packages or dispensers for suture anchors or for anchor applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B2017/06057—Double-armed sutures, i.e. sutures having a needle attached to each end
Definitions
- the present invention relates to surgical anchors and fasteners, and in particular, to a surgical anchor for fastening sutures into bio-organic material, for example, bone. Even more particularly, the present invention relates to a sterile package and holder for a suture anchor with sutures attached. Preferably, the sutures also have attached thereto, in addition to the suture anchor, the suture needles.
- U.S. Pat. No. 5,078,730 to Li et al. discloses a holder for a suture anchor assembly.
- the holder of U.S. Pat. No. 5,078,730 comprises a generally rectangular body of material having its outer surfaces cut away in various locations so as to form suture anchor holding means for releasibly holding a suture anchor to the holder, suture holding means for releasibly holding a suture to the holder and needle holding means for releasibly holding a pair of surgical needles to the holder.
- the suture anchor holding means, suture holding means and needle holding means comprise channels formed in the outer surfaces of the body to the profiles of the particular suture anchor assembly members they are to receive.
- the holder of U.S. Pat. No. 5,078,730 includes a number of islands formed in an archipelago type pattern about which the sutures are wound.
- suture be controllably released from the suture holder in order to minimize installation problems.
- Yet still another object of the present invention is to provide a simplified holder for a suture anchor with sutures and suture needles attached thereto.
- Yet still a further object of the present invention is to provide a holder for a suture anchor with sutures and suture needles attached thereto which provides for controllable release of the sutures, thereby preventing entanglement and contamination of the sutures.
- a holder for a suture anchor having a suture coupled to the suture anchor and at least one suture needle attached to the suture
- the holder comprising a planar member of generally rectangular shape having a cutout at each corner of the member about which the suture can be wound, the member having at least one channel formed therein for receiving the surgical needle and a receptacle formed therein for receiving the suture anchor, and further comprising a channel formed in the member for frictionally engaging the suture at a point along the length of the suture close to the suture anchor, thereby allowing the suture anchor to be removed from the holder without causing the suture to unwind from the holder.
- the cutouts and channels are exposed and a cover is not employed over the planar member.
- a package for a holder for a suture anchor having a suture coupled to the suture anchor and at least one suture needle attached to the suture comprising: a planar member of generally rectangular shape having a cutout at each corner of the member about which the suture is wound, the member having at least one channel formed therein for receiving the surgical needle and a receptacle formed therein for receiving the suture anchor, and further comprising a channel formed in the member for frictionally engaging the suture at a point along the length of the suture close to the suture anchor, thereby allowing the suture anchor to be removed from the holder without causing the suture to unwind from the holder, a suture anchor in the receptacle, a suture coupled to the suture anchor and wound about the holder, a surgical needle coupled to the suture and disposed in the channel; and a pouch receiving the holder with the suture anchor, suture and surgical needle disposed thereon.
- a holder for a suture anchor having a suture coupled to the suture anchor and at least one suture needle attached to the suture
- the holder comprising: a member having a surface having a substantially planar portion having a cutout at each corner of the member about which the suture can be wound, the member having at least one channel formed therein for receiving the surgical needle and a receptacle formed therein for receiving the suture anchor, and further wherein the suture is frictionally engaged by the holder at a point along the length of the suture close to the suture anchor, thereby allowing the suture anchor to be removed from the holder without causing the suture to unwind from the holder, the cutouts and receptacle for the suture anchor being exposed and a cover not being disposed over the member
- a holder for a suture anchor having a suture coupled to the suture anchor and at least one suture needle attached to the suture
- the holder comprising: a member having a surface having a substantially planar portion having a cutout at each corner of the member about which the suture can be wound, the member having at least one channel formed therein for receiving the surgical needle and a receptacle formed therein for receiving the suture anchor and further wherein the suture is wound about at least one side of the member between the cutouts of the member.
- FIG. 1 is a perspective view showing the holder of the present invention and separately, the suture anchor with suture needles attached thereto which is to be held by the holder;
- FIG. 2 shows a sterile package for the holder with the suture anchor with sutures and suture needles held therein;
- FIG. 3 shows the holder with the suture anchor, suture and suture needles attached thereto;
- FIG. 4 shows the holder after the suture anchor has been removed from the holder but while the sutures are maintained in a wound state in the holder;
- FIG. 5 shows the suture anchor after the bulk of the suture has been unwound from the holder, but while the suture needles remain in position in the holder;
- FIG. 6 is a front plan view of the holder according to the present invention with the suture anchor, suture and suture needles held therein;
- FIG. 7 is a back plan view of the holder.
- FIG. 8 is a perspective view showing the suture anchor after the suture anchor has been removed from the holder but with the sutures still wound on the holder and with the suture anchor engaged by an installation tool.
- the holder comprises a holder assembly generally indicated at 10.
- the holder assembly preferably comprises a generally square first member 12 adhesively fastened to a second member 14.
- the members 12 and 14 preferably are generally rectangular or square in shape with a plurality of cutouts 16 provided at each corner.
- the members 12 and 14 may have any other suitable shape.
- the members 12 and 14 comprise a foam plastic, for example, a medical grade polyurethane foam.
- Member 12 is sized such that its thickness is the same as or somewhat larger than the thickness of the surgical anchor which is to be received in the holder.
- Member 14 comprises a thin layer, compared to the member 12, adhesively fastened to the member 12.
- the member 14 preferably is sized somewhat larger than member 12, as shown, so that the adhesive used to secure member 14 to member 12 will not contact the suture to be wound on the members.
- the members 12 and 14 are of light weight, relatively soft and have a number of additional cutouts in the members 12 and 14 formed therein. These cutouts include a cutout 18, only in the member 12, for the anchor itself, and a number of circular cutouts 20 for the surgical needles. Cutouts 20 are connected by channels 22 formed in the foam material 12. In the preferred embodiment, cutouts 20A are formed only in member 12 with cutouts 20B extending through both members 12 and 14. See FIG. 7. This facilitates removal of surgical needles 32. Also, cutouts 16 may each comprise a cutout 16A in member 12 and a smaller cutout 16B in member 14.
- the holder assembly shown is made of two members 12 and 14 adhesively glued together, the holder assembly may be made of one piece. Making the holder assembly in two pieces 12 and 14 eases some manufacturing processes because as will be discussed below, some of the recesses and cutouts in the holder assembly are through-holes whereas others are pockets, with the bottom of the pocket being formed by member 14. For example, cutouts 18, 20A and 38 (FIG. 2) are pockets (bottoming in member 14) whereas cutouts 20B (FIG. 7) are through-holes through both members 12 and 14.
- the anchor 24 may be of the type disclosed in Applicant's co-pending applications Ser. Nos. 08/294,067 and 08/426,715.
- the anchor is generally indicated at 24 and is of the type which is engaged by an installation tool at its proximal end 26, and having a plurality of longitudinally extending fingers 28 which are adapted to move radially outwardly and engage with the walls of a bore in organic tissue, for example a bore hole in bone.
- the sutures are generally indicated at 30 and the surgical suture needles are shown at 32.
- the surgical needles 32 are inserted in the cushioned channels 22 and openings 20 in the member 12, as shown most clearly in FIG. 6.
- the attached sutures are led through the channels 34 in the member 12, and then through slits 30 provided in the member 14 disposed immediately below a cutout 38 in the member 12.
- the sutures are then suitably wound, e.g., about the left and right sides of the holder 10 through the cutouts 16 and also across the top and bottom of the holder 10 but only along the backside of the portion 14, thus keeping the opening 18 clear for the insertion of the anchor 24 in the opening 18.
- the sutures can be wound in any convenient manner about the holder 10.
- the length of the sutures is such that they are substantially wound around the holder 10 without substantial looseness.
- the sutures are fed through a slit 40 provided in the member 14 as shown most clearly in FIGS. 6 and 7. After the sutures are wound about the holder 10, the suture anchor 24 is inserted in the opening 18 in the member 12.
- the opening 18 is shaped so as to have a substantially linearly extending portion 18A opening into a circular portion 18B.
- the portion, 18A is adapted to receive substantially cylindrical portion 24A of the anchor of greater diameter and the circular portion 18B is adapted to receive the portion 24B of the anchor of a smaller cross section and having the engaging fingers 28.
- the entire holder with the suture anchor, sutures and suture needles attached thereto is sterilized and disposed in a sterile package 50, as shown in FIG. 2, comprising a first planar member 52 covered by a second transparent planar member 54 which is releasibly adhesively secured to the member 52 through a generally rectangular adhesive strip 56 as known in the art.
- the member 54 is pulled away from the member 52 as shown in the bottom right-hand corner of FIG. 2, thus releasing the holder 10 from the package 50.
- the surgeon utilizes an installation tool to install the suture anchor in a bore hole in organic tissue, such as bone.
- a portion of the installation tool is shown in FIG. 8 at 60, with the suture anchor 24 engaged by the installation tool 60.
- the anchor 24 can be engaged by the installation tool 60 after the suture anchor is removed from the holder 10, as shown in FIG. 8, or while the suture anchor 24 is still in position in the opening 18 in the holder 10. If the installation tool 60 is attached to the suture anchor 24 after the suture anchor 24 is removed from the holder 10, this is done prior to the removal of the sutures 30 from the slot 40, by which the sutures 30 are frictionally secured to the holder 10. This prevents the sutures 30 from unwinding from the holder 10, and thereby preventing entangling of the sutures 30.
- the sutures can be pulled out of the slot 40 in the member 14, and the sutures will unwind from the holder 10.
- the surgical needles 32 will remain in their receiving cushioning channels in the holder 10 until they are removed by the surgeon for suturing another member to the anchor 24.
- the present invention thus provides a convenient holder for a suture anchor with sutures and suture needles attached thereto.
- the present invention also provides a holder which prevents tangling of the sutures during application and protects the surgical needles and sutures from external contact during the installation of the suture anchor.
- the holder of the present invention is light in weight, and, when packaged, provides a sterile cushioned holder for a suture anchor, sutures and surgical needles.
Abstract
Description
Claims (47)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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US08/751,116 US5715942A (en) | 1996-11-15 | 1996-11-15 | Package and holder for suture anchor with sutures and surgical needles attacked |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/751,116 US5715942A (en) | 1996-11-15 | 1996-11-15 | Package and holder for suture anchor with sutures and surgical needles attacked |
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US5715942A true US5715942A (en) | 1998-02-10 |
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Family Applications (1)
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US08/751,116 Expired - Lifetime US5715942A (en) | 1996-11-15 | 1996-11-15 | Package and holder for suture anchor with sutures and surgical needles attacked |
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Cited By (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5894921A (en) * | 1997-10-07 | 1999-04-20 | Ethicon, Inc. | Package for suture anchor |
WO2001006933A2 (en) | 1999-07-26 | 2001-02-01 | Regeneration Technologies, Inc. | Suture anchor |
US6346109B1 (en) * | 1998-08-26 | 2002-02-12 | Linvatec Corporation | Cannulated tissue anchor system |
US6659270B2 (en) | 2000-01-28 | 2003-12-09 | Idx Medical, Ltd. | Non-kinking and non-tangling suture package |
US6689153B1 (en) | 1999-04-16 | 2004-02-10 | Orthopaedic Biosystems Ltd, Inc. | Methods and apparatus for a coated anchoring device and/or suture |
US6971578B2 (en) | 1995-12-18 | 2005-12-06 | Metrologic Instruments, Inc. | Planar laser illumination and imaging module (PLIIN) based semiconductor chips |
US7086594B2 (en) | 1999-06-07 | 2006-08-08 | Metrologic Instruments, Inc. | Planar light illumination and imaging (PLIIM) systems employing LED-based planar light illumination arrays (PLIAS) and linear electronic image detection arrays |
US20060229493A1 (en) * | 2005-04-06 | 2006-10-12 | Boston Scientific Scimed, Inc. | Systems, devices, and methods for sub-urethral support |
US20070015953A1 (en) * | 2005-07-13 | 2007-01-18 | Boston Scientific Scimed, Inc. | Snap fit sling anchor system and related methods |
EP1818019A1 (en) * | 2006-02-10 | 2007-08-15 | Karl Storz GmbH & Co. KG | Packaging for a medical anchor element with thread |
US20080275475A1 (en) * | 2007-05-04 | 2008-11-06 | Schwemberger Richard F | Loader for knotting element |
US20090259233A1 (en) * | 2008-04-11 | 2009-10-15 | Michael Bogart | Deployment System For Surgical Suture |
US20090312773A1 (en) * | 2008-06-13 | 2009-12-17 | Ramiro Cabrera | Endoscopic stitching devices |
US20100016866A1 (en) * | 2008-07-17 | 2010-01-21 | Suturtek Incorporated | Apparatus and method for minimally invasive suturing |
US20100217282A1 (en) * | 2006-10-05 | 2010-08-26 | Tyco Healthcare Group Lp | Flexible endoscopic stitching devices |
US20100230300A1 (en) * | 2007-05-29 | 2010-09-16 | Angiotech Pharmaceuticals, Inc. | Suture packaging |
US20110040308A1 (en) * | 2008-06-13 | 2011-02-17 | Ramiro Cabrera | Endoscopic Stitching Devices |
US20110056859A1 (en) * | 2007-09-10 | 2011-03-10 | Angiotech Pharmaceuticals, Inc. | Suture packaging and methods related thereto |
US20110082476A1 (en) * | 2009-10-06 | 2011-04-07 | Tyco Healthcare Group Lp | Handle Assembly for Endoscopic Suturing Device |
US8454631B2 (en) | 2006-10-05 | 2013-06-04 | Covidien Lp | Axial stitching devices |
US8469973B2 (en) | 2006-01-27 | 2013-06-25 | Endoevolution, Llc | Apparatus and method for sternotomy closure |
US8602211B2 (en) * | 2011-03-03 | 2013-12-10 | Simplicity Pattern Co. Inc. | Needle holder |
US8623048B2 (en) | 2001-06-14 | 2014-01-07 | Endoevolution, Llc | Suturing instrument |
US8628465B2 (en) | 2004-06-14 | 2014-01-14 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to implantable supportive slings |
EP2730234A1 (en) * | 2012-11-09 | 2014-05-14 | Karl Storz GmbH & Co. KG | Suture cartridge for meniscal repair |
USD708746S1 (en) | 2009-06-10 | 2014-07-08 | Covidien Lp | Handle for surgical device |
US8821519B2 (en) | 2004-09-20 | 2014-09-02 | Endoevolution, Llc | Apparatus and method for minimally invasive suturing |
CN104042263A (en) * | 2013-03-13 | 2014-09-17 | 美多斯国际有限公司 | Suture Storage Devices, Systems, And Methods |
US8968340B2 (en) | 2011-02-23 | 2015-03-03 | Covidien Lp | Single actuating jaw flexible endolumenal stitching device |
US9113991B2 (en) | 2011-05-12 | 2015-08-25 | Boston Scientific Scimed, Inc. | Anchors for bodily implants and methods for anchoring bodily implants into a patient's body |
US9387065B2 (en) | 2014-03-28 | 2016-07-12 | Medos International Sàrl | Implant and filament management device |
US9468434B2 (en) | 2014-06-03 | 2016-10-18 | Covidien Lp | Stitching end effector |
US9636201B2 (en) | 2011-05-12 | 2017-05-02 | Boston Scientific Scimed, Inc. | Delivery members for delivering an implant into a body of a patient |
US9675341B2 (en) | 2010-11-09 | 2017-06-13 | Ethicon Inc. | Emergency self-retaining sutures and packaging |
US9675436B2 (en) | 2005-07-25 | 2017-06-13 | Boston Scientific Scimed, Inc. | Pelvic floor repair system |
US9675339B2 (en) | 2004-09-20 | 2017-06-13 | Endoevolution, Llc | Devices and methods for minimally invasive suturing |
US9943306B2 (en) | 2009-04-14 | 2018-04-17 | Covidien Lp | Knotless endostitch suture retainer |
US9955962B2 (en) | 2010-06-11 | 2018-05-01 | Ethicon, Inc. | Suture delivery tools for endoscopic and robot-assisted surgery and methods |
US10045830B2 (en) | 2015-04-23 | 2018-08-14 | Covidien Lp | Storage device for medical components and method of use |
US10092286B2 (en) | 2015-05-27 | 2018-10-09 | Covidien Lp | Suturing loading unit |
US10292698B2 (en) | 2017-07-27 | 2019-05-21 | Endoevolution, Llc | Apparatus and method for minimally invasive suturing |
EP3492021A1 (en) * | 2017-11-30 | 2019-06-05 | ZuriMED Technologies AG | Insert holding device, suture holding device and method for connecting a suture to an insert for insertion into a bone |
US10542970B2 (en) | 2016-05-31 | 2020-01-28 | Covidien Lp | Endoscopic stitching device |
US10542968B2 (en) | 2016-12-23 | 2020-01-28 | Brigham And Women's Hospital, Inc. | Systems and methods for suturing tissue |
US20200205809A1 (en) * | 2019-03-13 | 2020-07-02 | Nakh Jarahan Pars Co. | Suture package |
US10799233B2 (en) | 2012-05-01 | 2020-10-13 | Brigham And Women's Hospital, Inc. | Suturing device for laparoscopic procedures |
US11197665B2 (en) | 2018-08-06 | 2021-12-14 | Covidien Lp | Needle reload device for use with endostitch device |
US11253250B2 (en) | 2017-02-26 | 2022-02-22 | Intuitive Surgical Operations, Inc. | Apparatus and method for minimally invasive suturing |
US11375992B1 (en) * | 2021-04-08 | 2022-07-05 | Integrity Orthopaedics, Inc. | Cartridge device for suture anchor and suture management during implantation of a micro suture anchor array |
US11857408B2 (en) | 2014-03-28 | 2024-01-02 | Medos International Sarl | Implant and filament management device |
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Cited By (136)
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---|---|---|---|---|
US6971578B2 (en) | 1995-12-18 | 2005-12-06 | Metrologic Instruments, Inc. | Planar laser illumination and imaging module (PLIIN) based semiconductor chips |
US5894921A (en) * | 1997-10-07 | 1999-04-20 | Ethicon, Inc. | Package for suture anchor |
US6346109B1 (en) * | 1998-08-26 | 2002-02-12 | Linvatec Corporation | Cannulated tissue anchor system |
US6689153B1 (en) | 1999-04-16 | 2004-02-10 | Orthopaedic Biosystems Ltd, Inc. | Methods and apparatus for a coated anchoring device and/or suture |
US7086594B2 (en) | 1999-06-07 | 2006-08-08 | Metrologic Instruments, Inc. | Planar light illumination and imaging (PLIIM) systems employing LED-based planar light illumination arrays (PLIAS) and linear electronic image detection arrays |
WO2001006933A2 (en) | 1999-07-26 | 2001-02-01 | Regeneration Technologies, Inc. | Suture anchor |
US6659270B2 (en) | 2000-01-28 | 2003-12-09 | Idx Medical, Ltd. | Non-kinking and non-tangling suture package |
US9717493B1 (en) | 2001-06-14 | 2017-08-01 | Endoevolution, Llc | Devices and methods for surgical suturing |
US10045774B2 (en) | 2001-06-14 | 2018-08-14 | Endoevolution, Llc | Devices and methods for surgical fastening |
US20170119376A1 (en) | 2001-06-14 | 2017-05-04 | Endoevolution, Llc | Devices and methods for surgical suturing |
US9649107B2 (en) | 2001-06-14 | 2017-05-16 | Endoevolution, Llc | Needle for suturing instrument |
US9445807B2 (en) | 2001-06-14 | 2016-09-20 | Endoevolution, Llc | Needle for suturing instrument |
US9693770B2 (en) | 2001-06-14 | 2017-07-04 | Endoevolution, Llc | Devices and methods for surgical suturing |
US9717495B1 (en) | 2001-06-14 | 2017-08-01 | Endoevolution, Llc | Devices and methods for surgical suturing |
US9730688B1 (en) | 2001-06-14 | 2017-08-15 | Endoevolution, Llc | Devices and methods for surgical suturing |
US9737296B1 (en) | 2001-06-14 | 2017-08-22 | Endoevolution, Llc | Devices and methods for surgical suturing |
US9943307B2 (en) | 2001-06-14 | 2018-04-17 | Endoevolution, Llc | Devices and methods for surgical suturing |
US10792032B2 (en) | 2001-06-14 | 2020-10-06 | Intuitive Surgical Operations, Inc. | Methods of surgical fastening |
US9743923B2 (en) | 2001-06-14 | 2017-08-29 | Endoevolution, Llc | Devices and methods for surgical suturing |
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